Provider Demographics
NPI:1578620522
Name:KLEKAMP, JOEL K (PT)
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:K
Last Name:KLEKAMP
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5056 MT ALVERNO RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-5744
Mailing Address - Country:US
Mailing Address - Phone:513-922-0250
Mailing Address - Fax:
Practice Address - Street 1:1 NEUMANN WAY
Practice Address - Street 2:GENERAL ELECTRIC AVIATION CLINIC MD C14
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215
Practice Address - Country:US
Practice Address - Phone:513-243-3300
Practice Address - Fax:513-243-3777
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH007270225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist